Provider Demographics
NPI:1033173877
Name:COLUMBIA FOOT AND ANKLE ASSOCIATES, PA
Entity Type:Organization
Organization Name:COLUMBIA FOOT AND ANKLE ASSOCIATES, PA
Other - Org Name:ROSS E. TAUBMAN, DPM, PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:E
Authorized Official - Last Name:TAUBMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:443-535-8770
Mailing Address - Street 1:6100 DAYLONG LN
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1626
Mailing Address - Country:US
Mailing Address - Phone:443-535-8770
Mailing Address - Fax:443-535-8775
Practice Address - Street 1:6100 DAYLONG LN
Practice Address - Street 2:SUITE 102
Practice Address - City:CLARKSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21029-1626
Practice Address - Country:US
Practice Address - Phone:443-535-8770
Practice Address - Fax:443-535-8775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-17
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4002520001Medicare NSC